Review Article| Volume 20, ISSUE 1, P95-106, March 2012

Digital Technologies in Mandibular Pathology and Reconstruction

Published:January 16, 2012DOI:
      Modern surgical pathology of the head and neck has roots from the late 19th century, but the most significant leaps in diagnosis and treatment of these disease entities have rapidly developed over the last 35 years. Significant advances in clinical research were transferred to the operating room environment, and clinicians were able to treat benign and malignant maxillofacial lesions with increased predictability. The advent of microvascular free tissue transfer transformed severely debilitating and disfiguring operations into single-stage ablative–reconstructive procedures. The addition of this type of reconstruction has allowed ablative surgeons to take on the most difficult cases and obtain extremely functional and aesthetic results. At New York University Langone Medical Center, the authors are carrying these principles forward and are using digital technology to improve surgical treatment of head and neck pathology. This article will focus on how computer-aided design and computer aided manufacturing (CAD-CAM) has greatly impacted surgical pathology and reconstruction of the head and neck. The methods are described, and several cases are illustrated.
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      Further readings

        • Bell R.B.
        Computer planning and intraoperative navigation in cranio-maxillofacial surgery.
        Oral Maxillofac Surg Clin North Am. 2010; 22: 135-156
        • Cevidanes L.H.
        • Tucker S.
        • Styner M.
        • et al.
        Three-dimensional surgical simulation.
        Am J Orthod Dentofacial Orthop. 2010; 138: 361-371
        • Fernandes R.
        • DiPasquale J.
        Computer-aided surgery using 3D rendering of maxillofacial pathology and trauma.
        Int J Med Robot. 2007; 3: 203-206
        • Hirsch D.L.
        • Garfein E.S.
        • Christensen A.M.
        • et al.
        Use of computer-aided design and computer-aided manufacturing to produce orthognathically ideal surgical outcomes: a paradigm shift in head and neck reconstruction.
        J Oral Maxillofac Surg. 2009; 67: 2115-2122
        • Marchetti C.
        • Bianchi A.
        • Mazzoni S.
        • et al.
        Oromandibular reconstruction using a fibula osteocutaneous free flap: four different “preplating” techniques.
        Plast Reconstr Surg. 2006; 118: 643-651
        • Sharaf B.
        • Levine J.P.
        • Hirsch D.L.
        • et al.
        Importance of computer-aided design and manufacturing technology in the multidisciplinary approach to head and neck reconstruction.
        J Craniofac Surg. 2010; 21: 1277-1280
        • Tepper O.M.
        • Sorice S.
        • Hershman G.N.
        • et al.
        Use of virtual 3-dimensional surgery in post-traumatic craniomaxillofacial reconstruction.
        J Oral Maxillofac Surg. 2011; 69: 733-741